45D0667701 CLIA NUMBER - CARE INN OF LAGRANGE

Laboratory Demographics

  • CLIA Code: 45D0667701
  • Facility Name: CARE INN OF LAGRANGE
  • Facility Address: 457 N MAIN
    LA GRANGE, TX
    ZIP 78945
  • Facility Phone: 979 968-5865
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY C. ADISAM
  • NPI Number: 1588785992
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0667701
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARE INN OF LAGRANGE
Street 457 N MAIN
City LA GRANGE
State TX
ZIP 78945
Phone 979 968-5865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFFREY C. ADISAM

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This page was last updated on: 9/29/2025